NPI | 1558841858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123165) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100217) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2022-05-02 |